Validate. Complete. Submit with confidence.
Validate. Complete. Submit with confidence.
NPHIES Claim Pre-Screen helps Saudi healthcare providers validate claims against NPHIES requirements before submission, reducing denials and accelerating reimbursement.
Who and where
Same five lines on every Areev listing
NPHIES Claim Pre-Screen automatically checks your claims against NPHIES requirements before submission, identifying errors, missing documentation, and policy gaps so you can fix issues early and submit clean, compliant claims.
Covered by warranty
If a screened claim is later rejected for a covered validation defect, the outcome is automatically credited.
Submission-ready claim
Validate against NPHIES rules and payer policies
Validation report
Clear, actionable results with error details
Denial-risk analysis
Identify and resolve high-risk claims
Documentation recommendations
AI-powered guidance on required documents
Blocking errors flagged
Stop bad claims before they reach NPHIES
Ingest claim data
From your HIS or file upload
Validate against rules
Check data, coding and documentation
Review results
Fix errors and follow recommendations
Submit with confidence
Send clean claims to NPHIES
What you're buying
Counts as done when
The claim is screened against the current NPHIES rule set and a named coder accepts or edits the result before submission.
Not charged when
The claim is a duplicate, the payer record is missing, or you reject the screen within 7 days.
If it's wrong
Rework at no charge, or the SAR 3.00 reversed. Tell us within 7 days of the outcome.
Approved by
A named coder in your team accepts every screened claim before it is submitted. The agent never submits on its own.
Override rate — not yet measured
Measured on
Not yet measured — 76 verified outcomes on release 1.9.
Areev-verified performance appears once a release passes 200 verified outcomes.
Checked against
NPHIES rule set 2026.3, effective 1 September. Your own payer policies and coding tables sit on top.
You are told before a rule set changes, and outcomes are stamped with the one they ran on.
What it can do to your systems
Can touch
Reversible until
30 days after the write, from its before-image, in one click.
Cannot be undone — a claim once submitted to NPHIES.
Will not
Submit a claim, change a diagnosis or procedure code on its own, or contact a payer.
Your material
Never used to train a model, by Areev or by any model provider. Deleted on request, including caches and logs.
Patient data stays inside the Kingdom — residency statement on the compliance pack.
When it's unsure
It flags the claim for a human rather than guessing, and routes it to your named coding lead. Nothing is submitted on a low-confidence screen.
Abstention rate — not yet measured
SOC 2 Type II with report period, ISO 27001, ISO 42001, the DPA, the sub-processor and model list with 30 days' change notice, and the data-residency statement. Everything your risk assessment needs, in one file.
What you get, beyond the outcome itself.
Rule set, pinned and dated
Every screen is stamped with the NPHIES rule set it ran on. You are told before a set changes, and you can replay an old outcome against the rules in force at the time.
Coding specificity checks
ICD-10-AM and CPT validation with the specificity checks that drive most denials, run before a coder ever opens the claim.
Payer-policy overlay
Your own payer policies and coding tables sit on top of the national rule set, so a Bupa claim is checked against Bupa's rules.
Coder of record
A named coder accepts or edits every screen. The agent proposes; it never submits, and it never changes a code on its own.
Denial-defect warranty
If a screened claim is rejected for a defect the screen was supposed to catch, the outcome is credited automatically.
In-Kingdom, end to end
Compute, disaster recovery and support access all sit inside Saudi Arabia. Nothing about a claim leaves the Kingdom.
Epic
(EHR integration)
NPHIES API
(Real-time validation)
Payer rule engine
(Policy and coverage rules)
Document analysis
(Extract and verify documents)
Coding validation
(ICD-10, CPT, and more)
Custom HIS
(Connect to your environment)
Works with the tools you already use.
Customer Cloud (Saudi Arabia)
In your cloud environment
Areev Cloud (Saudi Arabia)
Fully managed by Areev
On-premise
On your infrastructure
Transparent and simple.
SAR 15,000
One-time implementation
Setup, configuration and training
From
SAR 2,000
Monthly platform fee
Based on selected plan
SAR 3
Outcome fee
Per screened claim
76
of 200 verified outcomes on release 1.9
Until a release passes 200, Areev publishes no accuracy figure for it. No star ratings, no testimonials — the number comes from the ledger or it does not appear.
What will be published
Every figure is exportable, so you can reconcile it against your own A-R and NPHIES responses rather than take a dashboard on trust.
The answers are the contract's, not marketing's.
A claim checked against the NPHIES rule set in force at the time, where a named coder on your team then accepts or edits the result. A screen nobody looked at is not billable.
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